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Organization

EMPOWERED NEURODIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLORIA J SHERROD LCPC (OWNER)
(630) 456-1374
Entity
Organization

Contact information

Practice address
2735 HASSERT BLVD SUITE 135, PMB 2175, NAPERVILLE, IL 60564
(630) 765-5740
Mailing address
22011 W MILLER CT, PLAINFIELD, IL 60544-6053
(630) 765-5740

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
11/06/2023
Last updated
05/06/2026
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